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Cancer in Tasmania Incidence and Mortality 2005 Tasmanian Cancer Registry University of Tasmania Menzies Research Institute 52 Bathurst Street Hobart Tasmania Australia 7000 Postal address: Private Bag 23 Hobart Tasmania Australia 7001 Telephone (03) 6226 7757 Facsimile (03) 6226 7755 URL: www.menzies.utas.edu.au/cancer_reg.html Email: [email protected] Editors: Dalton M, Venn A, Albion T, Otahal P, Blizzard L Publication date: July 2008

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Cancer in Tasmania Incidence and Mortality 2005

Tasmanian Cancer Registry University of Tasmania

Menzies Research Institute

52 Bathurst Street

Hobart Tasmania Australia 7000

Postal address:

Private Bag 23

Hobart Tasmania Australia 7001

Telephone (03) 6226 7757

Facsimile (03) 6226 7755

URL: www.menzies.utas.edu.au/cancer_reg.html

Email: [email protected]

Editors: Dalton M, Venn A, Albion T, Otahal P, Blizzard L

Publication date: July 2008

Acknowledgements The Tasmanian Cancer Registry is funded by the Tasmanian Department of Health and Human Services (DHHS), through its

Population Health subdivision, and by the Menzies Research Institute. Additional funds are raised from the community and

research funding bodies. The work of collecting and collating cancer registry data would not be possible without the continuing

assistance and support of a number of people. These include staff members of:

Private and public pathology laboratories

The Registry of Births, Deaths and Marriages

Medical Records Departments of all Tasmanian hospitals

WP Holman Clinics in Launceston and Hobart

Medical practitioners in specialist and general practices

The Australian Bureau of Statistics

Other State and Territory cancer registries

The assistance provided by the Registry’s Advisory Committee is greatly appreciated. The administrative staff and volunteers of

the Registry are commended for their commitment and efforts towards achieving the high level of accuracy and completeness of

data upon which this report is based. We also thank other Menzies Research Institute staff for their assistance with statistical,

computing, administrative, financial, media and editorial matters.

Citation The following citation is suggested in referring to this report:

Dalton M, Venn A, Albion T, Otahal P, Blizzard L. Cancer in Tasmania: Incidence and Mortality 2005. Menzies Research Institute,

Hobart, 2008.

2 | Tasmanian Cancer Registry

Tasmanian Cancer Registry Staff Assoc Prof A Venn Director

Ms M Dalton Manager

Mrs K Jackman Administrative Officer

Ms J Luck Administrative Officer

Mrs P Whelan Administrative Assistant

Assoc Prof L Blizzard Biostatistician, Menzies Research Institute

Mr T Albion IT Systems Manager, Menzies Research Institute

Mr P Otahal Biostatistician, Menzies Research Institute

Members of the Advisory Committee 2007-8 Mr K Churchill Australian Bureau of Statistics, Tasmania

Dr R Brodribb The Cancer Council Tasmania, Tasmania

Ms G Raw Department of Health and Human Services, Tasmania

Professor P Stanton School of Medicine, Department of Surgery, University of Tasmania, Tasmania

Dr R Taylor Director of Public Health and Director of Population Health, Department of Health and Human Services,

Tasmania

Tasmanian Cancer Registry | 3

4 | Tasmanian Cancer Registry

Contents Coding changes in registration & reporting ................................................................................................................................... 7 

The Tasmanian Cancer Registry ..................................................................................................................................................... 8 Introduction ..................................................................................................................................................................................... 8 Sources of data .............................................................................................................................................................................. 8 Data handling, collection and coding practices ............................................................................................................................... 8 Data control and quality assurance ................................................................................................................................................ 9 Publication of reports ...................................................................................................................................................................... 9 

All Cancers ...................................................................................................................................................................................... 10 Incidence and mortality of all cancers 2005 .................................................................................................................................. 10 Trends for all cancers 1980 – 2005 .............................................................................................................................................. 11 

Common Cancers ........................................................................................................................................................................... 12 Common cancers diagnosed in males 2005 ................................................................................................................................. 12 Common cancer-related deaths in males 2005 ............................................................................................................................ 12 Common cancers diagnosed in females 2005 .............................................................................................................................. 13 Common cancer-related deaths in females 2005 ......................................................................................................................... 13 

Regional Distribution of Cancers .................................................................................................................................................. 14 

Female breast cancer 1997 - 2005 ................................................................................................................................................. 15 Tumour size .................................................................................................................................................................................. 15 Lymph node involvement .............................................................................................................................................................. 15 

Cancer incidence and mortality table 2005 ................................................................................................................................... 17 Differences in reporting due to coding changes ............................................................................................................................ 55 

Appendices ...................................................................................................................................................................................... 57 Appendix A: Cancer site codes and combinations ....................................................................................................................... 58 Appendix B: Statistical methods .................................................................................................................................................. 60 Appendix C: Population data ....................................................................................................................................................... 61 Appendix D: Indices of data quality ............................................................................................................................................. 62 Appendix E: Use of Tasmanian Cancer Registry Data ................................................................................................................ 64 Appendix F: Incidence and mortality summary tables 2005 ......................................................................................................... 66 

Tasmanian Cancer Registry | 5

6 | Tasmanian Cancer Registry

Coding changes in registration & reporting

This report provides a summary of cancer incidence and

mortality statistics for Tasmania in 2005. It includes all cancers

notified to the Tasmanian Cancer Registry that were first

diagnosed in Tasmanian residents between 1 January 2005

and 31 December 2005.

In this report, the primary site and morphology for cancers

diagnosed in Tasmania in 2005 were coded using the

International Classification of Diseases for Oncology, Third

Edition (ICD-O31). In reports prior to 2003, the primary sites of

cancers diagnosed in Tasmania were coded using the

International Classification of Diseases for Oncology, Ninth

Edition (ICD-9) and the morphologies were coded using the

Systematized Nomenclature of Medicine and Modifications

(SNOMED) and the International Classification of Diseases for

Oncology, Second Edition (ICD-O2) 2. The Cancer in

Tasmania 2003 report was the first to be produced using codes

from ICD-03.

In this report, cancers have been tabulated according to ICD-

103 codes (refer to Appendix A on page 58), but coded using

ICD-O3. This allows comparisons to be made with national

cancer incidence and mortality. Cancers were also tabulated in

ICD-10 in the 2001 and 2002 annual reports, but were coded

using ICD-9 and SNOMED/ICD-O2 codes. In earlier annual

reports, cancers were tabulated in ICD-9, and coded using

ICD-9 and SNOMED/ICD-O2 codes. Cancer types and groups

are mostly comparable across reports. An explanation of

differences in the reporting of cancers due to coding changes

over the last few years is provided on page 55.

Tasmanian Cancer Registry | 7

1 Fritz A, Percy C, Jack A et al eds. International Classification of

Diseases for Oncology, Third edition 2 Percy C, Van Holten V, Muir C eds. International Classification of

Diseases for Oncology, Second edition 3 The International Statistical Classification of Diseases and Related

Health Problems, Tenth Revision, Australian Modification (ICD-10-AM)

In line with all other Australian state and territory cancer

registries, the Tasmanian Cancer Registry routinely codes all

melanomas of unknown site to ICD-03 C44 (skin), and these

are reported as ICD-10 C43 ‘Melanoma of Skin’. This is

consistent with reporting practices in the 2003 and 2004

reports. Melanoma morphology codes occurring at other sites

are coded to the site in which they occurred. Cancers reported

as C44 skin cancer include all malignant cancers of the skin,

but exclude basal cell carcinoma, squamous cell carcinoma,

melanoma (reported as ICD-10 C43), some Kaposi sarcomas

(reported as ICD-10 C46), and some types of lymphomas (ICD-

10 C81-C85).

The Tasmanian Cancer Registry

Introduction The Tasmanian Cancer Registry was established in 1977 as a

population-based registry covering the whole of Tasmania. The

Registry was established to provide the State Government with

accurate cancer incidence and mortality statistics and to

monitor cancer trends. In July 1988 the operation of the Cancer

Registry was moved from the Department of Health Services to

the Menzies Research Institute. Cancer was proclaimed a

notifiable disease in December 1992 and cancer registration

since then has had a legislative basis.

Registry staff includes a Director, Manager, two Administrative

Officers and an Administration Assistant. Volunteers also

assist with the paper data handling. The Registry has access to

a biostatistician and a computer consultant. An Advisory

Committee assists the Registry. The Tasmanian Cancer

Registry is a full member of the Australasian Association of

Cancer Registries (AACR) and the International Association of

Cancer Registries (IACR).

Sources of data All pathology laboratories in the State provide the Registry with

copies of histopathological and cytology reports of cancer and

cell marker reports. Cancer notification forms are supplied by

the two radiation oncology clinics. Private and public hospitals

notify diagnoses of cancer to the Registry upon discharge of

patients or provide a computerised listing of cancer cases

periodically. Death notifications of Tasmanian people are

reviewed for mention of cancer as a cause of death. Since

1994 breast and cervical cancer screening programs have

been undertaken in Tasmania and listings from these sources

are available to check against Registry records. Interstate

registries supply data to the Tasmanian Cancer Registry on

Tasmanian residents who seek treatment interstate or who

move interstate at some time after cancer diagnosis.

Data handling, collection and coding practices Paper copies of all scanned notifications are retained until

coding and validation of cases for that year is complete. Paper

records for persons deceased are archived two years after

death. Data for cancers diagnosed between 1 January 2005

and 31 December 2005 were registered on an ACCESS

database developed in–house for the Tasmanian Cancer

Registry. This database was developed to enable: the

registration of cancers using International Classification of

Diseases for Oncology, Third Edition (ICD-O3) codes; the

electronic transfer and processing of cancer incidence and

death notifications; the collection of the minimum dataset

defined by the Australasian Association of Cancer Registries

members; and improved access and manipulation of registry

data for data requests and reporting.

Information collected by the Registry includes demographic

and clinical data for the cancer patient in accordance with the

minimum data defined in the Cancer Registries Data

Dictionary. Additional tumour data are collected for

melanomas, lymphomas, unknown primaries, and breast and

bladder cancers.

The Tasmanian Cancer Registry collects and registers non-

melanoma skin cancers (NMSC) on a register established in

2001 for this purpose. Currently NMSC registrations are

complete from 1978 to 2005. NMSC notifications are registered

only when additional funding sources are obtained. Resource

considerations prevent the routine registration of these cancers

and the pathology reports are stored until additional funds

become available.

Both the primary site and morphology of cancers diagnosed in

Tasmania in 2005 were coded to the International

Classification of Diseases for Oncology, Third Edition (ICD-

O3). This report presents data for invasive cancers only

(behaviour = 3, site C000 – C809). In situ cancers and second

primary cancers with the same three-digit topography code and

related morphologies are not included in this report. Coding

practices specific to the Tasmanian Cancer Registry are

detailed in Appendix A on page 58.

In this report, incidence refers to the number of new primary

tumours that are diagnosed in the Tasmanian population in any

year, rather than the number of people with cancer. While the

Tasmanian Cancer Registry registers multiple primary cancers

8 | Tasmanian Cancer Registry

Tasmanian Cancer Registry | 9

diagnosed in a person, not all primary tumours are reported in

incidence rates according to the rules for incidence reporting

recommended by the International Agency for Research on

Cancer. Applying these rules to incidence reporting improves

the comparability of Tasmanian cancer data with national and

international cancer data.

Data control and quality assurance The quality of information provided by the Registry depends on

the quality of data received. The indices used to measure the

quality of the 2005 data are provided in Appendix D on page

62. To help achieve high data quality and case ascertainment,

data are obtained from multiple sources such as pathology

laboratories, hospitals and the Registrar of Births, Deaths and

Marriages. Most registered cases include data from both a

pathology laboratory and a hospital service (inpatient or

radiation oncology clinic). Where insufficient information is

received to enable complete registration, active follow-up is

undertaken by contacting treating doctors, pathology

laboratories and hospital medical record departments.

The quality also depends on the accuracy of data processing

by the Registry. The new information system is able to detect a

number of errors when data entry is performed. Data matching

programs enable the identification and amendment of duplicate

entries by identifying incorrect spellings, name changes and

date of birth inconsistencies. In addition, the National Cancer

Statistics Clearing House (NCSCH) collates all state and

territory data and checks for duplicate registrations across two

or more states.

On average, the Registry receives cancer notifications once or

twice a week from pathology laboratories, half yearly and ad

hoc from hospitals, and monthly from the Registrar of Births,

Deaths and Marriages. The cases are usually registered within

six months of notification and resolution of incomplete

information can take up to 18 months.

Publication of reports The incidence and mortality data in this report are based on

cancer registrations for 2005 and for 1980 - 2005 for trend

analysis. Despite intensive efforts to ensure the completeness

of incidence data, the database is continually updated with

previously unregistered cases and new information for

registered cases. The data in this report were complete as of

31st May 2008. This improves the quality of data but future

publications and responses to requests for data will reflect any

subsequent revisions to the data and may not exactly

correspond to the figures in this report.

All Cancers All Cancers

Incidence and mortality of all cancers 2005 Incidence and mortality of all cancers 2005 There were 2,737 new cases of cancer (excluding non-melanoma skin cancers) diagnosed among Tasmanian residents during

2005 (1,508 males and 1,229 females). The overall age standardised incidence was 376.4 per 100,000 for males and 292.2 per

100,000 for females2. The risk of developing any cancer by age 75 years was 1 in 3 for males and 1 in 4 for females. The risk

estimate does not include the risk of developing non-melanoma skin cancer.

There were 2,737 new cases of cancer (excluding non-melanoma skin cancers) diagnosed among Tasmanian residents during

2005 (1,508 males and 1,229 females). The overall age standardised incidence was 376.4 per 100,000 for males and 292.2 per

100,000 for females2. The risk of developing any cancer by age 75 years was 1 in 3 for males and 1 in 4 for females. The risk

estimate does not include the risk of developing non-melanoma skin cancer.

Cancer incidence generally increased with age (Figure 1). Male rates exceeded female rates for Tasmanians aged 55 years and

over. Prostate, lung and colorectal cancers were responsible for the greater male cancer incidence at these ages. Breast cancer

accounted for the slightly higher female rates among younger adults. There is no obvious explanation for the decrease in female

incidence rate seen in the 80-84 age bracket.

Cancer incidence generally increased with age (Figure 1). Male rates exceeded female rates for Tasmanians aged 55 years and

over. Prostate, lung and colorectal cancers were responsible for the greater male cancer incidence at these ages. Breast cancer

accounted for the slightly higher female rates among younger adults. There is no obvious explanation for the decrease in female

incidence rate seen in the 80-84 age bracket.

There were 1,051 (568 male and 483 female) cancer-related deaths among Tasmanian residents in 2005. The overall age

standardised mortality rate was 128.4 per 100,000 for males and 94.0 per 100,000 for females. The person years life lost to age 75

years was 4,595 for males and 4,060 for females.

There were 1,051 (568 male and 483 female) cancer-related deaths among Tasmanian residents in 2005. The overall age

standardised mortality rate was 128.4 per 100,000 for males and 94.0 per 100,000 for females. The person years life lost to age 75

years was 4,595 for males and 4,060 for females.

Figure 1: Age specific incidence and mortality for all cancers (excluding non-melanoma skin cancers) 2005 Figure 1: Age specific incidence and mortality for all cancers (excluding non-melanoma skin cancers) 2005

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2 Age standardised incidence was calculated using the World Standard Population (1960)

10 | Tasmanian Cancer Registry

Tasmanian Cancer Registry | 11

Trends for all cancers 1980 – 2005

The age standardised incidence rates (ASR) of all cancers (excluding non-melanoma skin cancers) increased by 33% for males

and 30% for females during the 25-year period from 1980 to 2005 (comparing 2004-2005 with 1980-1981), and increased by 7%

for males and 9% for females during the period 2004 to 2005. Some of the largest increases since 1980 were observed for

prostate cancer and malignant melanoma in males and breast cancer and malignant melanoma in females. The increase in

incidence during the 1990s coincided with the greater use of prostate-antigen testing (PSA) for prostate cancer in men and the

introduction of mammography screening for breast cancer in women. While the number of new cancer cases and cancer deaths

occurring each year have generally risen since 1980, age standardised mortality rates per 100,000 population have remained

relatively stable for females and have shown a slight decrease for males. An increase in the total new cancer cases is again seen

in 2005: the ASR for all cancers in males increased from 350.8 in 2004 to 376.4 in 2005, whilst in females it increased from 267.2

in 2004 to 292.2 in 2005. The ASR of head and neck cancers in males is seen to have risen by 48% from 2004 to 2005, whilst in

females malignant melanoma has seen an increase in ASR of 41%. The age-standardised mortality rate for prostate cancer has

decreased by 21%, and in females decreases can be seen in mortality rates for all lymphomas (37%) and colorectal cancer (29%).

The mortality rate for lung cancer in females, however, has increased by 33%, with an increase of 48% for melanoma in males.

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Figure 2: Trends in age standardised

incidence and mortality of all cancers

(excluding non-melanoma skin cancers)

1980 – 2005*

*Incidence and mortality for all cancers from 1980 to 2000 is reported in ICD-9 while data for 2001 to 2005 are reported in ICD-10.

Figure 3: Trends in crude incidence and

mortality of all cancers (excluding non-

melanoma skin cancers) 1980 – 2005*

Common Cancers Common Cancers

Common cancers diagnosed in males 2005 Common cancers diagnosed in males 2005 The most common cancer diagnosed in males in 2005 was prostate cancer, followed by colorectal cancer, lung cancer, melanoma

skin cancer and bladder cancer.

The most common cancer diagnosed in males in 2005 was prostate cancer, followed by colorectal cancer, lung cancer, melanoma

skin cancer and bladder cancer.

Figure 4: Common cancers diagnosed in males 2005 Figure 4: Common cancers diagnosed in males 2005

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Colorectal

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Melanoma of skin

Bladder

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Common cancer-related deaths in males 2005 The most common causes of cancer-related deaths in male Tasmanian residents in 2005 were lung cancer, colorectal cancer,

prostate cancer, melanoma skin cancer and stomach cancer.

Figure 5: Common causes of cancer-related deaths in males 2005

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Stomach

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12 | Tasmanian Cancer Registry

Tasmanian Cancer Registry | 13

Common cancers diagnosed in females 2005 The most common cancer diagnosed in females in 2005 was breast cancer, followed by colorectal cancer, melanoma skin cancer,

lung cancer and all lymphomas.

Figure 6: Common cancers diagnosed in females 2005

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Common cancer-related deaths in females 2005 The most common causes of cancer-related deaths in female Tasmanian residents in 2005 were lung cancer, breast cancer,

colorectal cancer, cancer of the pancreas, all leukaemias and all lymphomas.

Figure 7: Common causes of cancer-related deaths in females 2005

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Number of cancer deaths

Regional Distribution of Cancers Regional Distribution of Cancers

The regional distribution of common cancers is shown as the number of cases and the percentage of all cases of each cancer site

in each statistical division (Table 1). This information is based on recorded postcode of residence. On the basis of population

numbers in each of the statistical divisions, the distribution of cancers would be expected to be 49% in the South, 29% in the North

and 22% in the Mersey-Lyell division. Variation around that distribution can be expected due to chance occurrences and

differences in the age distribution between the regional populations.

The regional distribution of common cancers is shown as the number of cases and the percentage of all cases of each cancer site

in each statistical division (Table 1). This information is based on recorded postcode of residence. On the basis of population

numbers in each of the statistical divisions, the distribution of cancers would be expected to be 49% in the South, 29% in the North

and 22% in the Mersey-Lyell division. Variation around that distribution can be expected due to chance occurrences and

differences in the age distribution between the regional populations.

Table 1: Regional distribution of cancer incidence for all sites with a minimum of 50 new cases 2005

ICD-10 Site Southern Northern Mersey-Lyell Total#

239,444 (49%) 137,936 (28%) 107,883 (22%) 485,263 (100%)

C61 Prostate 257 (53%) 126 (26%) 102 (21%) 485

C18 - C21 Colorectal 176 (47%) 96 (26%) 104 (28%) 376

C50 Breast 182 (56%) 84 (26%) 60 (18%) 326

C43 Melanoma of skin 130 (46%) 77 (27%) 78 (27%) 285

C33, C34 Lung 134 (50%) 85 (32%) 48 (18%) 267

C81 - C85 All lymphomas 49 (51%) 29 (30%) 18 (19%) 96

C91 - C95 All leukaemia 47 (64%) 17 (23%) 10 (14%) 74

C67 Bladder 35 (50%) 18 (26%) 17 (24%) 70

C64 Kidney 33 (52%) 17 (27%) 13 (21%) 63

C16 Stomach 31 (51%) 19 (31%) 11 (18%) 61

Total new cases 1074 (51%) 568 (27%) 461 (22%) 2103

*Cancer types may not add up to 100% due to rounding. #Source: Australian Bureau of Statistics (ABS), Population Estimates by Age and Sex, Tasmania, June: 2005 Copyright © Commonwealth of

Australia 2006 (Cat. No. 3201.0)

14 | Tasmanian Cancer Registry

Tasmanian Cancer Registry | 15

Female breast cancer 1997 - 2005 The Tasmanian Cancer Registry first recorded breast cancer tumour size and lymph node involvement in 1997 when funding was

provided to all Australian cancer registries for this purpose.

Tumour size

In 2005, 98% of the 323 primary breast cancer cases (female) were histologically examined3. Information about tumour size was

available for 296 (91%) of these cases. Of these tumours, 44 (14%) were less than 10mm in diameter, 117 (40%) were between 10

and 19mm, 117 (40%) were between 20 and 49mm, and 18 (6%) were at least 50mm in diameter. Figure 8 compares categories of

tumour size from 1997 to 2005.

Figure 8: Breast cancer - Size of histologically confirmed tumours 1997 - 2005

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Lymph node involvement

Of the 323 primary breast cancer cases (female), lymph nodes were investigated in 252 (78%) of cases. Where nodal status was

examined, 148 (59%) cases were classified as lymph node negative, 79 (31%) cases involved 1 to 3 lymph nodes, 9 (4%) cases

involved 4 to 6 lymph nodes, and 16 (6%) cases involved 7 or more lymph nodes. Figure 9 compares categories of lymph node

involvement from 1997 to 2005.

Figure 9: Breast cancer - Lymph node involvement 1997 – 2005

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3 Refer to Indices of Data Quality on page 63.

16 | Tasmanian Cancer Registry

Cancer incidence and mortality table 2005

- Numbers of new cases and deaths

- Age-specific incidence and mortality rates per 100,000

- Crude incidence and mortality rates per 100,000 (Crude Rates)

- Cumulative incidence and mortality rates (Cumul Rates)

- Age standardised incidence and mortality rates using the Australian Standard Population (2001) and

the World Standard Population (1960)

Tasmanian Cancer Registry | 17

18 | Tasmanian Cancer Registry

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Differences in reporting due to coding changes

In this report, as in the 2003 and 2004 reports, cancers were tabulated according to ICD-10 codes, but coded in ICD-O3. In the 2001

and 2002 annual reports, cancers were also tabulated according to ICD-10 codes, but coded in ICD-9 and SNOMED/ICD-O2. While

cancer types and groups are mostly comparable between reports, some coding and reporting changes have had an effect on

incidence and mortality counts and rates. The changes in reporting have been made to improve the comparability of Tasmanian

cancer data with other Australian state and territory cancer registries.

Non-Hodgkin’s Lymphoma (ICD-10 C82-C85) Lymphoid granulomatosis, which was previously considered of uncertain behaviour (morphology code 9766/1) is now deemed to be

invasive (9766/3) and is reported in the table C85 ‘Other and unspecified types of NHL’. This change in reporting was made in

response to a decision by the AACR coding and reporting committee in April 2006, and was first introduced in the 2004 report.

Leukaemia (ICD-10 C91-C95) The change from ICD-O2 to ICD-O3 mid-way through 2003 meant the reporting of some chronic myeloproliferative (CMD) and

myelodysplastic syndromes previously coded as leukaemias. This might have resulted in a decrease in reported leukaemia rates,

however this has not been seen since the coding change occurred.

Kidney Cancer (ICD-10 C64) Transitional cell carcinomas of the kidney (C649) are now coded to renal pelvis (C659). This change in reporting was made in

response to a decision by the AACR coding and reporting committee in August 2006, and was first introduced in the 2004 report.

Tasmanian Cancer Registry | 55

56 | Tasmanian Cancer Registry

Appendices

Appendix A: Cancer site codes and combinations

Appendix B: Statistical methods

Appendix C: Population data

Appendix D: Indices of data quality

Appendix E: Use of Tasmanian Cancer Registry data

Appendix F: Incidence and mortality summary tables 2005

Tasmanian Cancer Registry | 57

58 | Tasmanian Cancer Registry

Appendix A: Cancer site codes and combinations In this report, cancers were tabulated according to ICD-10 codes, but coded in ICD-O3. In the 2001 and 2002 annual reports, cancers were also tabulated according to ICD-10 codes, but coded in ICD-9 and SNOMED/ICD-O2. While cancer types and groups are mostly comparable between reports, an explanation is provided for those cancers that are not comparable on page 55.

ICD-10 description ICD-10 Lip, oral cavity and pharynx (C00 - C14) Lip C00 Tongue C01-C02 Gum C03 Floor of mouth C04 Other mouth C05-C06 Oral cavity C01-C06 Salivary glands C07-C08 Oropharynx C09-C10 Nasopharynx C11 Hypopharynx (including pyriform sinus) C12-C13 Pharynx C09-C13 Other oral (includes other & unspecified sites of lip, oral cavity & pharynx) C14 Head and neck C01-C14, C30-C32 Digestive organs (C15 - C26) Oesophagus C15 Stomach C16 Small intestine (including duodenum) C17 Colon C18 Rectum (including rectosigmoid, anal canal & anus) C19-C21 Colorectal C18-C21 Liver (and intrahepatic bile ducts) C22 Gallbladder (and other biliary tract) C23-C24 Pancreas C25 Respiratory system and intrathoracic organs (C30 - C39) Nasal cavities C30-C31 Larynx C32 Lung (includes trachea, bronchus & lung) C33-C34 Thymus (includes heart, mediastinum & pleura) C37-C38 Bones, joints and articular cartilage (C40 - C41) Bone (includes articular cartilage) C40-C41 Skin (C43, C44) Melanoma of skin C43 Skin (excludes melanoma) C44 Mesothelioma and connective tissue (C45 - C49) Mesothelioma C45 Kaposi sarcoma C46 Retroperitoneum & peritoneum C48 Connective tissue (includes peripheral nerves etc.) C47, C49 Breast (C50) and female genital organs (C51 - C58) Breast C50 Cervix C53 Uterus C54, C55 Ovary C56 Placenta C58 Vulva and other/unspecified female genital organs C51, C52, C57

Tasmanian Cancer Registry | 59

ICD-10 description ICD-10 Male genital organs (C60 - C63) Prostate C61 Testis C62 Penis (and other male genital organs) C60, C63 Urinary tract (C64 - C68) Kidney (except renal pelvis) C64 Bladder C67 Renal pelvis (including other/unspecified urinary organs) C65, C66, C68 Eye, brain and other parts of the central nervous system (C69 - C71) Eye C69 Brain C71 Central nervous system (includes meninges) C70, C72 Thyroid and other endocrine glands (C73 - C75) Thyroid C73 Other endocrine (glands and related structures) C74, C75 Malignant neoplasms of lymphoid, haematopoietic and related tissue (C81 - C96) Hodgkin's disease C81 Nodular non-Hodgkin's lymphoma C82 Diffuse non-Hodgkin's lymphoma C83 T-cell lymphoma C84 Other non-Hodgkin's lymphoma C85 Non-Hodgkin's lymphoma C82-C85 All lymphomas C81-C85 Immunoproliferative disease C88 Multiple myeloma (and malignant plasma cell neoplasms) C90 Lymphoid leukaemia C91 Acute lymphoid leukaemia C91.0 Chronic lymphoid leukaemia C91.1 Myeloid leukaemia C92 Acute myeloid leukaemia C92.0 Chronic myeloid leukaemia C92.1 Other and unspecified leukaemia C93 - C95 All leukaemia C91-C95 Unknown primary site (C80) Unspecified sites C80 Other and ill-defined sites C26, C39, C76 All cancers (excluding non-melanoma skin cancers) C00-C96

Appendix B: Statistical methods

The 2005 report contains numbers of new cases and deaths,

and age specific, crude, cumulative, and age standardised

incidence and mortality rates of Tasmanian residents

diagnosed with cancer. They are based on registrations

completed by 31 May 2008.

Incidence Cancer incidence is defined as the number of new cases of

cancer in a population during a specific period. The incidence

data in this report refer to the number of primary cancers first

diagnosed between 1 January 2005 and 31 December 2005 in

persons who were residents of Tasmania at the time of

diagnosis.

Mortality The mortality data in this report refer to deaths from cancer of

people who were first diagnosed as having cancer while they

were residents of Tasmania. In many instances, other State or

Territory cancer registries notify the Tasmanian Cancer

Registry of cancer patients who die outside Tasmania. Details

of patients diagnosed interstate who die in Tasmania are

forwarded to the relevant cancer registry. Deaths from other

causes are also recorded so that survival proportions can be

calculated.

Crude rates (CR) The crude incidence (rate) is calculated as the number of new

cases of cancer divided by the population at risk in a specified

time period. The crude mortality rate substitutes deaths for new

cases in this calculation. Both are conventionally expressed as

annual rates per 100,000 population. The Australian Bureau of

Statistics (ABS) supplied the estimated Tasmanian population

by age and sex for 2005 in June 2006.

Age specific rates Age specific rates are calculated by dividing the number of

cases occurring in each specified age group by the

corresponding population in the same age group and are

expressed as an annual rate per 100,000 population.

Age standardised rates (ASR) Rates are adjusted for age to facilitate comparisons between

populations that have different age structures, e.g. between

youthful and aging communities. In this publication we use

direct standardisation in which age specific rates are used to

calculate the number of cases that would have occurred if the

population had the same age distribution as the World

Standard Population 1960, World Standard Population 2000

and the Australian Standard Population 2001. This effectively

removes the influence of age structure on the summary rate,

which is described as the age standardised rate. The method

may be used for both incidence and mortality calculations.

Cumulative rates The cumulative rate is a directly standardised rate calculated

by summing the age specific rate for each year of life prior to

age 75. Cumulative risk to age 75 can be calculated from the

cumulative rate.

60 | Tasmanian Cancer Registry

Appendix C: Population data Appendix C: Population data

Estimated resident population of Tasmania by age group and sex for 30 June 20051 Estimated resident population of Tasmania by age group and sex for 30 June 20051 Age Age Males Males FemalesFemales Persons Persons

0-4 15,440 14,632 30072

5-9 16,299 15,606 31905

10-14 17,749 16,790 34539

15-19 17,473 16,603 34076

20-24 16,018 14,970 30988

25-29 13,288 13,326 26614

30-34 14,523 15,822 30345

35-39 15,692 16,547 32239

40-44 17,782 18,531 36313

45-49 17,986 18,275 36261

50-54 16,783 17,171 33954

55-59 16,065 16,227 32292

60-64 12,721 12,519 25240

65-69 10,347 10,486 20833

70-74 8,027 8,654 16681

75-79 6,596 7,720 14316

80-84 4,177 6,303 10480

85+ 2,482 5,633 8115

Total 239,448 245,815 485,263

Tasmanian Cancer Registry | 61

Australian Standard Population and World Standard Populations

Age Australian Standard

Population (2001)2

World Standard

Population(1960)3

World Standard

Population (2000)4

0-4 1,282,357 12,000 8.86

5-9 1,351,664 10,000 8.69

10-14 1,353,177 9,000 8.60

15-19 1,352,745 9,000 8.47

20-24 1,302,412 8,000 8.22

25-29 1,407,081 8,000 7.93

30-34 1,466,615 6,000 7.61

35-39 1,492,204 6,000 7.15

40-44 1,479,257 6,000 6.59

45-49 1,358,594 6,000 6.04

50-54 1,300,777 5,000 5.37

55-59 1,008,799 4,000 4.55

60-64 822,024 4,000 3.72

65-69 682,513 3,000 2.96

70-74 638,380 2,000 2.21

75-79 519,356 1,000 1.52

80-84 330,050 500 0.91

85+ 265,235 500 0.63

Total 19,413,240 100,000 100.03

The Australian Standard Population 20012 approximates

the proportional age distribution of the whole of

Australia in 2001. Similarly the World Standard

Population3 approximates the proportional age

distribution of the whole world. Standard populations are

used widely for direct standardisation to enable

comparisons between populations of differing age

structure.

1 Australian Bureau of Statistics (ABS), Population Estimates

by Age and Sex, Tasmania, At 30 June: 2005 Copyright ©

Commonwealth of Australia 2006 (Cat. No. 3201.0)

2 Australian Bureau of Statistics (ABS) 2004, Australian

demographic statistics, March quarter 2004 (Cat. No. 3101.0). 3 Parkin D M, Whelan S, Ferlay J, Raymond L and Young J.

Cancer Incidence in Five Continents Vol VII, IARC Scientific

Publications No. 143. Lyon: International Agency for Research

on Cancer, 1997 (p 67).

4Ahmad OB, Boschi-Pinto C ,Lopez AD, Murray CJL, Lozano R

& Inoue M, 2000. Age standardization of rates: a new WHO

standard. GPE Discussion Paper Series No. 31. Geneva:

World Health Organisation (available at

http://www.who.int/health-systems-

performance/docs/levelofhealth_docs.htm).

Appendix D: Indices of data quality

Three indices of data quality are commonly used by Australian

Cancer Registries: the mortality to incidence ratio (M/I%), the

proportion of cancers with histological verification (HV%) and

the proportion of cancers registered on the basis of death

certificate only (DCO%). The Tasmanian Cancer Registry has

calculated these three indices and also determined the

proportion of cancers with morphological verification (MV%)

and the proportion of cancers of unknown primary site (PSU)

for 2005 data.

Death Certificate Only (DCO) In the past, the Tasmanian Cancer Registry did not register

cases on the basis of DCO, unlike other State and Territory

cancer registries that registered these cases and included them

in their reports. Each death certificate notification is actively

followed up until the time and place of diagnosis are

ascertained and the diagnosis verified. If the diagnostic details

cannot be confirmed morphologically, the case is registered on

the basis of a clinical diagnosis4. In 2005, 59 DCO cases were

registered and these cases have been included in the 2005

incidence data. This will increase the number of new cancers

by 2.2% (1.8% for males and 2.6% for females). For DCO

cases, the date of diagnosis is taken as the date of death.

Where there is a low DCO%, as is the case for this Registry,

the potential error in registration is reduced.

Mortality to Incidence Ratio (M/I%) One way of assessing the completeness of cancer

ascertainment is the M/I%. This measure is calculated by

dividing the number of deaths attributed to a specific cancer in

a defined population by the number of new cases of the same

cancer registered during the same period in the same

population. For cancers with a poor prognosis, the ratio will be

close to 100%. If it exceeds 100% this may indicate that the

cancer is being under-registered, but a more likely explanation

for this result with uncommon cancers is that it is a result of

random fluctuations in the annual number of new cases and

deaths.

62 | Tasmanian Cancer Registry

4 Note: Prior to 2000, DCO cases were not registered by the

Tasmanian Cancer Registry.

Histological Verification (HV%) HV% is the percentage of cases with verification by histological

investigation. Histological verification of diagnosis shows that it

has been possible to investigate a patient with such

thoroughness that a portion of the suspected neoplasm has

been removed for microscopic examination5. For 2005, 83% of

all male and 84% of all female registered cases had a

diagnosis on the basis of tissue examination. HV% includes

only the cancers that were diagnosed following tissue or needle

biopsy and did not include diagnoses made on the basis of

cytology examination of smears or aspirates (including

haematological examinations).

Morphological Verification (MV%) If we add the diagnoses based on exfoliative cytology,

haematological examinations (for leukaemia) as well as

diagnoses based on histological examination of a tissue

specimen, then the percentage of all cancers with

morphological verification (MV%) in 2005 was 89% for males

and 89% for females6.

Unknown Primary Site (PSU) The Registry calculated the percentage of all cancers that were

classified as PSU (reported as ICD-10 C80 Unspecified site),

because it is one of the quality indicators used for international

comparisons7. In 2005, the percentage of all cases classified

as PSU was 3.3% (2.3% for males and 4.5% for females).

5 Parkin D.M, Chen V.W, Ferlay J, Galceran J, Storm H.H and Whelan

S. Comparability and Quality Control in Cancer Registration. IARC

Technical Report No 19. Lyon: International Agency for Research on

Cancer, 1994 (p 43). 6 Parkin D.M, Whelan S, Ferlay J, Raymond L and Young J. Cancer

Incidence in Five Continents Vol VII. IARC Scientific Publication No

143. Lyon: International Agency for Research on Cancer, 1997 (p 50). 7 Parkin D.M, Chen V.W, Ferlay J, Galceran J, Storm H.H and Whelan

S. Comparability and Quality Control in Cancer Registration. IARC

Technical Report No 19. Lyon: International Agency for Research on

Cancer, 1994 (p 51).

Tasmanian Cancer Registry | 63

Table 2: Indices of Data Quality

ICD-10 Site Incidence Mortality M/I% HV% MV% DCO%Males C00 Lip 15 0 0 100 100 0 C01-C14,C30-C32 Head and neck 55 21 38 93 96 0 C15 Oesophagus 29 18 62 97 97 0 C16 Stomach 43 23 53 100 100 0 C18 Colon 107 49 46 93 93 3 C19 - C21 Rectum 91 36 40 99 99 0 C22 Liver 10 9 90 40 50 20 C23, C24 Gallbladder 8 2 25 75 75 0 C25 Pancreas 22 21 95 68 73 9 C33, C34 Lung 158 151 96 54 80 1 C43 Melanoma of skin 148 28 19 98 99 0 C50 Breast 3 1 33 100 100 0 C61 Prostate 485 62 13 93 96 0 C62 Testis 13 1 8 100 100 0 C64 Kidney 38 16 42 84 87 3 C67 Bladder 51 20 39 94 100 0 C71 Brain 19 16 84 79 79 0 C73 Thyroid 5 0 0 100 100 0 C81 - C85 All lymphomas 43 14 33 74 84 0 C90 Multiple myeloma 20 11 55 55 60 0 C91 - C95 All leukaemia 46 15 33 20 39 2 C80 Unspecified site 34 31 91 35 47 29

C00 - C96 All cancers (excluding NMSCs) 1508 568 38 83 89 1.8

Females C00 Lip 6 0 0 100 100 0 C01-C14,C30-C32 Head and neck 24 3 13 100 100 0 C15 Oesophagus 11 13 118 100 100 0 C16 Stomach 18 15 83 83 83 0 C18 Colon 118 36 31 93 94 3 C19 - C21 Rectum 60 21 35 93 93 0 C22 Liver 12 12 100 17 17 17 C23, C24 Gallbladder 13 10 77 62 62 8 C25 Pancreas 17 20 118 35 41 6 C33, C34 Lung 109 90 83 52 83 3 C43 Melanoma of skin 137 9 7 99 99 1 C50 Breast 323 83 26 98 99 0 C53 Cervix 24 11 46 92 100 0 C54, C55 Uterus 46 9 20 100 100 0 C51, C52, C57 Vulva etc 12 6 50 100 100 0 C56 Ovary 23 15 65 83 91 0 C64 Kidney 25 8 32 96 96 0 C67 Bladder 19 8 42 89 89 5 C71 Brain 18 10 56 83 83 0 C73 Thyroid 20 1 5 95 100 0 C81 - C85 All lymphomas 53 16 30 81 87 0 C90 Multiple myeloma 12 10 83 58 58 0 C91 - C95 All leukaemia 28 16 57 39 46 7 C80 Unspecified site 55 41 75 40 56 25

C00 - C96 All cancers (excluding NMSCs) 1229 483 39 84 89 2.6

***Also excluding other selected cancers according to AACR rules

Appendix E: Use of Tasmanian Cancer Registry Data ncer Registry Data

Confidentiality of information Confidentiality of information Confidentiality of data is a requirement of the Public Health Act

1997. The Registry cannot release data identifying an

individual unless authorised by the Director of Public Health.

The relevant sections of this Act are reproduced below.

Confidentiality of data is a requirement of the Public Health Act

1997. The Registry cannot release data identifying an

individual unless authorised by the Director of Public Health.

The relevant sections of this Act are reproduced below.

64 | Tasmanian Cancer Registry

Disclosure of information relating to a notifiable disease Section 61: A person, unless authorised to do so under section

147, must not disclose any information in relation to:

(a) Any notification relating to a notifiable disease; or

(b) Any investigation or inquiry into a notifiable disease;

or

(c) The identity of any person to whom any notification,

investigation or inquiry relates.

Disclosure of information Section 147: A person must not disclose any information

obtained for the purpose of this Act relating to a person except

in accordance with any relevant guidelines and:

(a) With the written consent of the person or parent or

guardian of a child or person to whom the information

relates; or

(b) To a registered medical practitioner who is directly

involved in the treatment of that person; or

(c) To a person apparently in charge of any institution or

facility which is involved in the diagnosis or treatment of

that person; or

(d) To a person authorised by the Director; or

(e) For the purpose of notifying a notifiable disease; or

(f) For the purpose of an epidemiological study or research

authorised by the Director; or

(g) For the purpose of legal proceedings arising out of this

Act; or

(h) For a purpose authorised or required by this Act or

another Act; or

(i) For the purposes of study or research approved by the

Director.

Requests for non-identifying data Non-identifying cancer data are available upon request. Data

are usually released as incidence or mortality rates, or number

of cases or deaths, for specific cancers, cancer morphologies,

time periods or age groups. Data that can be compiled using

existing reporting systems have a turnaround of approximately

1 week. Data needing input from the biostatistician require

more notice. Such data are provided to epidemiological and

clinical researchers, the Department of Health and Human

Services, students and the public. It is generally not feasible to

release data for small geographical areas, because this could

lead to identification of the persons diagnosed and the Registry

may not have population data for the area with which to assess

the rate of occurrence. In addition to data requests, the

Registry receives personal enquiries regarding cancer. When

appropriate, these enquiries are referred to other agencies or

health professionals.

Requests for identifying data The release of named data is strictly controlled. Named data

may be released only after approval of a formal application

submitted to the Director of the Tasmanian Cancer Registry,

and with subsequent approval by the Director of Public Health.

Applications for research purposes need the approval of the

researchers’ institutional ethics committee and the Human

Research Ethics Committee (Tasmania) Network. Prior to

contacting persons named, researchers must notify the

patient’s medical practitioner of their intent to contact and

provide a form to be returned if he/she does not want the

patient to be approached.

Applicants are required to send a covering letter (detailing the

purposes of the study and who is funding the study), copies of

the study protocol (including the approach letter to participants)

and two copies of the Ethics Committees approvals to the

Director of the Tasmanian Cancer Registry.

Tasmanian Cancer Registry | 65

Published data Annual reports from the Registry provide data on cancer

numbers and incidence and mortality. Additional information is

provided on selected cancer sites. It should be recognised that

active follow-up is necessary to complete registrations for up to

30% of cases each year, which results in a two-year interval

from year of diagnosis to date of publication of incidence data.

Considerable time is spent on matching, classifying and

validating cancer cases notified to the Registry. In addition the

Tasmanian Cancer Registry supplies data to the National

Cancer Statistics Clearing House (NCSCH) and to the

International Association of Cancer Registries (IACR).

Appendix F: Incidence and mortality summary tables 2005 Appendix F: Incidence and mortality summary tables 2005 Table 3: Incidence summary table 2005 Table 3: Incidence summary table 2005

ICD-10 ICD-10 Site Site Males Females Total *N CR ASRW

1960 ASRW2000

ASRA 2001

N CR ASRW 1960

ASRW2000

ASRA 2001

N

C00 Lip 15 6.3 4.5 4.8 5.7 6 2.4 1.0 1.2 1.9 21 C01, C02 Tongue 7 2.9 1.8 2.0 2.8 3 1.2 0.7 0.7 0.9 10 C03 Gum 0 0.0 0.0 0.0 0.0 1 0.4 0.3 0.3 0.3 1 C04 Floor of mouth 3 1.3 0.9 1.0 1.1 3 1.2 0.7 0.8 1.0 6 C05, C06 Other mouth 4 1.7 1.0 1.1 1.5 3 1.2 0.6 0.7 1.0 7 C07, C08 Salivary glands 4 1.7 1.2 1.3 1.6 4 1.6 1.2 1.2 1.4 8 C09, C10 Oropharynx 10 4.2 2.6 2.9 3.8 3 1.2 0.6 0.7 1.0 13 C11 Nasopharynx 2 0.8 0.6 0.6 0.7 1 0.4 0.1 0.1 0.3 3 C12, C13 Hypopharynx 2 0.8 0.5 0.6 0.7 0 0.0 0.0 0.0 0.0 2 C14 Other oral 3 1.3 0.6 0.8 1.3 0 0.0 0.0 0.0 0.0 3 C15 Oesophagus 29 12.1 6.8 8.0 11.4 11 4.5 2.2 2.5 3.6 40 C16 Stomach 43 18.0 10.4 11.8 16.7 18 7.3 3.1 3.7 5.6 61 C17 Small intestine 2 0.8 0.6 0.6 0.7 6 2.4 1.4 1.5 1.9 8 C18 Colon 107 44.7 25.3 29.4 42.8 118 48.0 22.0 26.0 38.3 225 C19 - C21 Rectum 91 38.0 20.8 24.5 36.1 60 24.4 13.5 15.1 20.5 151 C18 - C21 Colorectal** 198 82.7 46.2 53.9 78.8 178 72.4 35.5 41.1 58.8 376 C22 Liver 10 4.2 2.5 2.8 3.8 12 4.9 1.7 2.2 3.7 22 C23, C24 Gallbladder 8 3.3 1.8 2.1 3.0 13 5.3 1.9 2.3 3.9 21 C25 Pancreas 22 9.2 5.6 6.1 9.0 17 6.9 3.0 3.3 5.2 39 C30, C31 Nasal cavities 7 2.9 1.7 1.9 2.7 2 0.8 0.5 0.5 0.7 9 C32 Larynx 13 5.4 3.6 3.9 4.7 4 1.6 1.1 1.1 1.4 17 C33, C34 Lung 158 66.0 36.5 42.1 61.7 109 44.3 23.7 26.7 36.7 267 C37, C38 Thymus etc 0 0.0 0.0 0.0 0.0 1 0.4 0.4 0.4 0.5 1 C40, C41 Bone 6 2.5 1.6 1.9 2.4 1 0.4 0.3 0.3 0.3 7 C43 Melanoma of skin 148 61.8 42.0 46.5 59.1 137 55.7 39.2 43.0 51.3 285 C45 Mesothelioma 12 5.0 3.2 3.4 4.3 2 0.8 0.5 0.6 0.8 14 C47, C49 Connective tissue 9 3.8 2.1 2.6 3.5 6 2.4 1.0 1.2 1.8 15 C50 Breast 3 1.3 0.6 0.8 1.4 323 131.4 84.2 90.7 114.0 326 C53 Cervix - - - - - 24 9.8 7.2 7.9 9.0 24 C54, C55 Uterus - - - - - 46 18.7 11.3 12.6 16.3 46 C51, C52, C57 Vulva etc - - - - - 12 4.9 2.6 2.9 3.9 12 C56 Ovary - - - - - 23 9.4 4.9 5.5 7.8 23 C61 Prostate 485 202.5 117.8 131.4 183.1 - - - - - 485 C62 Testis 13 5.4 5.7 6.4 6.2 - - - - - 13 C60, C63 Penis etc 3 1.3 0.8 0.9 1.0 - - - - - 3 C64 Kidney 38 15.9 9.9 11.3 15.1 25 10.2 6.4 7.2 9.2 63 C67 Bladder 51 21.3 11.7 13.6 20.4 19 7.7 3.7 4.2 6.2 70 C65, C66, C68 Renal pelvis etc 3 1.3 0.8 0.8 1.1 3 1.2 0.5 0.7 1.0 6 C69 Eye 4 1.7 1.0 1.1 1.5 1 0.4 0.4 0.5 0.5 5 C71 Brain 19 7.9 4.9 5.5 7.2 18 7.3 5.5 5.7 6.4 37 C70, C72 Central nervous system 1 0.4 0.4 0.5 0.5 1 0.4 0.1 0.1 0.2 2 C73 Thyroid 5 2.1 1.4 1.6 2.1 20 8.1 6.1 6.8 7.9 25 C74, C75 Other endocrine 2 0.8 0.7 0.8 0.9 0 0.0 0.0 0.0 0.0 2 C81 - C85 All lymphomas 43 18.0 11.3 12.8 17.3 53 21.6 13.7 15.0 19.0 96 C90 Multiple myeloma 20 8.4 4.8 5.4 8.0 12 4.9 2.2 2.7 3.8 32 C91 - C95 All leukaemia 46 19.2 14.4 14.7 18.2 28 11.4 6.7 7.4 9.5 74 C26, C39, C76 Other & ill-defined sites 5 2.1 1.0 1.3 2.0 4 1.6 1.4 1.3 1.5 9 C80 Unspecified site 34 14.2 6.9 8.7 14.8 55 22.4 10.1 11.7 17.5 89 C00 - C96 All cancers (excluding

NMSCs)*** 1,508 629.8 376.4 425.1 589.4 1,229 500.0 292.2 324.0 424.4 2,737

* N = Number CR = Crude Rate Rates are expressed per 100,000 population and age-standardised to the World Standard Population (ASRW) 1960 and 2000, and to the Australian Standard Population (ASRA) 2001.

** Includes cases listed separately as “Colon” and “Rectum” ***Also includes some selected cancers not shown in table above

66 | Tasmanian Cancer Registry

Tasmanian Cancer Registry | 67

Table 4: Mortality summary table 2005

ICD-10 Site Males Females Total

*N CR ASRW

1960

ASRW2000

ASRA 2001

N CR ASRW 1960

ASRW2000

ASRA 2001

N

C00 Lip 0 0.0 0.0 0.0 0.0 0 0.0 0.0 0.0 0.0 0 C01, C02 Tongue 5 2.1 1.4 1.6 1.9 0 0.0 0.0 0.0 0.0 5 C03 Gum 0 0.0 0.0 0.0 0.0 0 0.0 0.0 0.0 0.0 0 C04 Floor of mouth 1 0.4 0.3 0.3 0.4 0 0.0 0.0 0.0 0.0 1 C05, C06 Other mouth 1 0.4 0.3 0.3 0.4 0 0.0 0.0 0.0 0.0 1 C07, C08 Salivary glands 1 0.4 0.2 0.3 0.4 1 0.4 0.2 0.3 0.3 2 C09, C10 Oropharynx 3 1.3 0.7 0.8 1.1 0 0.0 0.0 0.0 0.0 3 C11 Nasopharynx 1 0.4 0.3 0.3 0.4 1 0.4 0.3 0.3 0.4 2 C12, C13 Hypopharynx 1 0.4 0.3 0.3 0.3 0 0.0 0.0 0.0 0.0 1 C14 Other oral 1 0.4 0.3 0.3 0.3 0 0.0 0.0 0.0 0.0 1 C15 Oesophagus 18 7.5 4.4 4.9 7.1 13 5.3 1.9 2.4 3.9 31 C16 Stomach 23 9.6 5.2 6.1 8.7 15 6.1 2.6 3.1 4.8 38 C17 Small intestine 2 0.8 0.4 0.5 0.7 2 0.8 0.2 0.3 0.6 4 C18 Colon 49 20.5 11.6 13.4 19.7 36 14.6 7.1 8.2 11.7 85 C19 - C21 Rectum 36 15.0 8.0 9.7 14.4 21 8.5 3.5 4.2 6.5 57 C18 - C21 Colorectal** 85 35.5 19.6 23.1 34.1 57 23.2 10.6 12.4 18.2 142 C22 Liver 9 3.8 2.0 2.4 3.7 12 4.9 1.7 2.2 3.7 21 C23, C24 Gallbladder 2 0.8 0.5 0.6 0.7 10 4.1 1.3 1.7 2.9 12 C25 Pancreas 21 8.8 5.0 5.7 8.7 20 8.1 3.2 3.8 6.0 41 C30, C31 Nasal cavities 4 1.7 1.1 1.1 1.5 0 0.0 0.0 0.0 0.0 4 C32 Larynx 3 1.3 0.7 0.8 1.2 1 0.4 0.2 0.3 0.4 4 C33, C34 Lung 151 63.1 33.6 39.6 59.2 90 36.6 17.8 20.6 29.7 241 C37, C38 Thymus etc 0 0.0 0.0 0.0 0.0 1 0.4 0.3 0.3 0.4 1 C40, C41 Bone 1 0.4 0.2 0.3 0.4 2 0.8 0.6 0.6 0.7 3 C43 Melanoma of skin 28 11.7 6.8 7.7 11.0 9 3.7 1.9 2.2 3.2 37 C45 Mesothelioma 9 3.8 2.0 2.4 3.6 1 0.4 0.3 0.3 0.4 10 C47, C49 Connective tissue 2 0.8 0.4 0.5 0.7 3 1.2 0.4 0.5 0.8 5 C50 Breast 1 0.4 0.2 0.3 0.6 83 33.8 19.3 21.6 28.5 84 C53 Cervix - - - - - 11 4.5 2.9 3.2 4.1 11 C54, C55 Uterus - - - - - 9 3.7 1.9 2.2 3.1 9 C51, C52, C57 Vulva etc - - - - - 6 2.4 1.0 1.2 1.9 6 C56 Ovary - - - - - 15 6.1 3.1 3.5 5.1 15 C61 Prostate 62 25.9 12.1 15.5 25.6 - - - - - 62 C62 Testis 1 0.4 0.5 0.5 0.4 - - - - - 1 C60, C63 Penis etc 0 0.0 0.0 0.0 0.0 - - - - - 0 C64 Kidney 16 6.7 3.1 4.0 6.3 8 3.3 1.5 1.7 2.5 24 C67 Bladder 20 8.4 4.1 5.1 8.3 8 3.3 1.3 1.7 2.7 28 C65, C66, C68 Renal pelvis etc 1 0.4 0.3 0.3 0.4 2 0.8 0.2 0.3 0.5 3 C69 Eye 0 0.0 0.0 0.0 0.0 0 0.0 0.0 0.0 0.0 0 C71 Brain 16 6.7 4.9 5.5 6.5 10 4.1 3.1 3.0 3.4 26 C70, C72 Central nervous system 1 0.4 0.3 0.3 0.4 0 0.0 0.0 0.0 0.0 1 C73 Thyroid 0 0.0 0.0 0.0 0.0 1 0.4 0.1 0.1 0.2 1 C74, C75 Other endocrine 0 0.0 0.0 0.0 0.0 1 0.4 0.2 0.3 0.3 1 C81 - C85 All lymphomas 14 5.8 2.8 3.7 5.5 16 6.5 2.4 3.0 5.0 30 C90 Multiple myeloma 11 4.6 2.5 3.0 4.4 10 4.1 1.6 2.0 3.2 21 C91 - C95 All leukaemia 15 6.3 4.0 4.4 5.8 16 6.5 2.8 3.3 4.9 31 C26, C39, C76 Other & ill-defined sites 3 1.3 0.6 0.7 1.2 1 0.4 0.1 0.2 0.3 4 C80 Unspecified site 31 12.9 6.1 7.8 13.4 41 16.7 8.2 9.0 13.0 72 C00 - C96 All cancers (excluding

NMSCs)*** 568 237.2 128.4 152.1 227.2 483 196.5 94.0 108.5 157.2 1,051

* N = Number CR = Crude Rate Rates are expressed per 100,000 population and age-standardised to the World Standard Population (ASRW) 1960 and 2000, and to the Australian Standard Population (ASRA) 2001.

** Includes cases listed separately as “Colon” and “Rectum” ***Also includes some selected cancers not shown in table above